Nirad Shah, PT
Physical Therapist in Oak Park, MI. Individual provider (NPI-1).
NPI number1124486360
StatusActive
Last updated in NPPESFeb 2, 2016
Details
- NPI
- 1124486360
- Entity type
- Individual (NPI-1)
- Name
- Nirad Shah
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2016
- Last updated
- Feb 2, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501015186 | MI | Yes |
Practice location
13631 W 11 Mile RdOak Park, MI 48237-1151
Phone 248-298-0433
Mailing address
260 Coachman Dr Apt 3dTroy, MI 48083-4728
Phone 248-688-6295
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Physical Therapist providers in Oak Park · All 860 providers in Oak Park
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